Active NPI
Olivia Claire Wills
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1417237249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 66156
- Practice address
- University of Southern California
1031 West 34TH Street, Suite 304
Los Angeles, CA 90089-3261 - Phone
- (213) 740-7711
- NPI assigned
- Aug 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 66156 | CA | Primary |
Addresses
Primary practice location
University of Southern California
1031 West 34TH Street, Suite 304
Los Angeles, CA 90089-3261
Mailing address
University of Southern California
1031 West 34TH Street, Suite 304
Los Angeles, CA 90089-3261
Phone (213) 740-7711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66156 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442188800000",
"number": "1417237249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIVERSITY OF SOUTHERN CALIFORNIA",
"address_2": "1031 WEST 34TH STREET, SUITE 304",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900893261",
"telephone_number": "213-740-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF SOUTHERN CALIFORNIA",
"address_2": "1031 WEST 34TH STREET, SUITE 304",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900893261",
"telephone_number": "213-740-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLS",
"first_name": "OLIVIA",
"middle_name": "CLAIRE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-24",
"last_updated": "2015-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "66156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Megan Willoughby, MA CCC-SLP
- Leah Kathleen Willover, OTR/L
- Willow Women and Children'S Wellness, LLC
- Leslie Hope Wills, RD
- Meagan Wills
- Stuart L. Willson, M.D.
- Courtney M Wilmot, NURSE PRACTITIONER
- Wilshire Aesthetics Medical Associates Surgery Center, Inc.
- Wilshire Aesthetics Medical Associates, Inc.
- Wilshire Anesthesia Associates LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.